Racial/Ethnic Variations in Associations between Socio-economic Factors and Tooth Loss
Identifieur interne : 005665 ( Main/Exploration ); précédent : 005664; suivant : 005666Racial/Ethnic Variations in Associations between Socio-economic Factors and Tooth Loss
Auteurs : Monik Jimenez ; Thomas Dietrich ; Mei-Chiung Shih ; Yi Li ; Kaumudi J. JoshipuraSource :
- Community dentistry and oral epidemiology [ 0301-5661 ] ; 2009.
Abstract
To compare the associations between socio-economic factors and tooth loss among Whites, Blacks and Mexican-Americans.
Analyses were conducted on 16,821 adults, using data from the National Health and Nutrition Examination Survey-III. Age and multivariate adjusted negative binomial regression were used to explore the relation of socio-economic factors, region of residence, gender, and foreign-born with number of missing teeth. Effect modification by race/ethnicity was assessed by the inclusion of interaction terms.
In multivariate adjusted analyses, non-Hispanic Whites with 9–12 years of education exhibited 71% higher mean number of missing teeth than those with >12 years (IRR=1.71, 95% CI: 1.52–1.92). Education was unrelated to number of teeth among non-Hispanic Blacks (IRR=1.16; 95% CI: 1.00–1.35) or Mexican-Americans (IRR=1.10, 95% CI: 0.93–1.31). The poorest Whites were missing 39% more teeth, on average, than the most affluent Whites, but no association between poverty and number of teeth was observed among Blacks or Mexican-Americans.
The associations between socio-economic factors and tooth loss vary across race/ethnicity. This suggests the health benefits associated with high SES are not equally shared across racial/ethnic groups.
Url:
DOI: 10.1111/j.1600-0528.2009.00466.x
PubMed: 19302573
PubMed Central: 2758161
Affiliations:
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<author><name sortKey="Dietrich, Thomas" sort="Dietrich, Thomas" uniqKey="Dietrich T" first="Thomas" last="Dietrich">Thomas Dietrich</name>
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<author><name sortKey="Shih, Mei Chiung" sort="Shih, Mei Chiung" uniqKey="Shih M" first="Mei-Chiung" last="Shih">Mei-Chiung Shih</name>
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<author><name sortKey="Li, Yi" sort="Li, Yi" uniqKey="Li Y" first="Yi" last="Li">Yi Li</name>
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<author><name sortKey="Joshipura, Kaumudi J" sort="Joshipura, Kaumudi J" uniqKey="Joshipura K" first="Kaumudi J." last="Joshipura">Kaumudi J. Joshipura</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">To compare the associations between socio-economic factors and tooth loss among Whites, Blacks and Mexican-Americans.</p>
</sec>
<sec sec-type="methods" id="S2"><title>Methods</title>
<p id="P2">Analyses were conducted on 16,821 adults, using data from the National Health and Nutrition Examination Survey-III. Age and multivariate adjusted negative binomial regression were used to explore the relation of socio-economic factors, region of residence, gender, and foreign-born with number of missing teeth. Effect modification by race/ethnicity was assessed by the inclusion of interaction terms.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">In multivariate adjusted analyses, non-Hispanic Whites with 9–12 years of education exhibited 71% higher mean number of missing teeth than those with >12 years (IRR=1.71, 95% CI: 1.52–1.92). Education was unrelated to number of teeth among non-Hispanic Blacks (IRR=1.16; 95% CI: 1.00–1.35) or Mexican-Americans (IRR=1.10, 95% CI: 0.93–1.31). The poorest Whites were missing 39% more teeth, on average, than the most affluent Whites, but no association between poverty and number of teeth was observed among Blacks or Mexican-Americans.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">The associations between socio-economic factors and tooth loss vary across race/ethnicity. This suggests the health benefits associated with high SES are not equally shared across racial/ethnic groups.</p>
</sec>
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<name sortKey="Joshipura, Kaumudi J" sort="Joshipura, Kaumudi J" uniqKey="Joshipura K" first="Kaumudi J." last="Joshipura">Kaumudi J. Joshipura</name>
<name sortKey="Li, Yi" sort="Li, Yi" uniqKey="Li Y" first="Yi" last="Li">Yi Li</name>
<name sortKey="Shih, Mei Chiung" sort="Shih, Mei Chiung" uniqKey="Shih M" first="Mei-Chiung" last="Shih">Mei-Chiung Shih</name>
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